עמוד זה מכיל מאמרים רלוונטיים לפרמדיקים
Ketamine Monosedation in Pediatrics – A Safe Choice
Written by Alexander Sheehan and Ketan Patel This study shows that ketamine alone is a safe choice for pediatric sedation in the ED, with serious adverse events (AE) occurring rarely, primarily in older children or when opioids are coadministered. No tube, no trouble – 12,000 kids later, ketamine still crushes
JAMA: Intraosseous vs Intravenous Access for Epinephrine in Pediatric Out-of-Hospital Cardiac Arrest
Masashi Okubo, MD, MS1; Sho Komukai, PhD2; Junichi Izawa, MD, DrPH3,4; et al Author Affiliations Article Information Cite Permissions Metrics Comments JAMA Netw Open Published Online: June 25, 2025 2025;8;(6):e2517291. doi:10.1001/jamanetworkopen.2025.17291 related icon Related Articlesfigure icon Figuresattach icon Supplemental Content Key PointsQuestion Is an intraosseous vs intravenous route for epinephrine administration associated with a difference in survival to hospital discharge among pediatric patients with out-of-hospital cardiac arrest? Findings In
PODCAST: Ketamine & Midazolam for Prehospital Seizure Management
Jul 7, 2025 Contributor: Aaron Lessen, MD Educational Pearls: Prehospital seizures are typically managed with intramuscular midazolam (Versed) Seizures theoretically involve the NMDA pathway, and ketamine is a potent NMDA antagonist A recent retrospective cohort study analyzed a Florida EMS protocol that uses ketamine in seizures refractory to midazolam One
PODCAST: Penetrating Neck Injuries children
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https://media.blubrry.com/israel_em/www.pemcincinnati.com/podcasts/wp-content/uploads/2025/06/Penetrating-Neck-Injuries.m4aPodcast: Play in new window | DownloadPenetrating neck injuries in children are rare—but when they happen, the stakes are high. In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the clinical pearls behind “no-zone” management, how to distinguish hard and soft signs, when to image versus operate,
PODCAST :Push Dose Pearls- Hypoglycemia
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Podcast: Play in new window | DownloadHypoglycemia can be subtle—or dangerously obvious—and knowing when and how to treat it is critical. In her first episode as our new Push Dose Pearls expert, Emergency Medicine Clinical Pharmacist, Haley Burhans, joins us to break it down. We discuss glucose thresholds by age,
INJURY: Shock index identifies compensated shock in the ‘Normotensive’ trauma patient
Theodore M Lin 1, Ali M Memon 2, Emily A Reeson 3, Grace C Tolan 4, Trevor M Low 5, Kristina M Kupanoff 6, Dih-Dih Huang 7, Michael D Jones 8, Brian R Czarkowski 9, Hahn Soe-Lin 10, James N Bogert 11, Jordan A Weinberg 12 Affiliations Expand Abstract Introduction: Hemorrhagic shock is a life-threatening condition that requires rapid identification for timely intervention. Although shock is easily discernible in the hypotensive patient, compensated shock in
Is Intranasal Ketamine as Good as IV? Emergency Medicine Pain/Sedation/Procedure Pharmacy/Pharmacology
July 3, 2025 Written by Shannon Markus In ED patients with bone fractures, intranasal ketamine provided pain relief comparable to IV ketamine and morphine, with no significant differences in efficacy or adverse effects across groups. Smells like effective analgesia… This single-center, double-blind, randomized controlled trial evaluated the efficacy of intranasal
NEJM: As-Needed Albuterol–Budesonide in Mild Asthma
C. LaForce,1 F. Albers,2 A. Danilewicz,3 A. Jeynes‑Ellis,3 M. Kraft,4 R.A. Panettieri, Jr.,5 R. Rees,3 S. Bardsley,6 L. Dunsire,6 T. Harrison,7 O. Sobande,8 R. Surujbally,6 F. Trudo,9 C. Cappelletti,10 A. Papi,11 R. Beasley,12 B.E. Chipps,13 E. Israel,14,15 H. Pandya,6 M. Clancy,16 and L.B. Bacharier,17 for the BATURA Investigators* Abstract
